累及双柱（壁）髋臼骨折手术入路的选择

摘要

目的：探讨累及双柱（壁）的髋臼骨折手术路径的选择及其对治疗效果的影响。方法选取青岛市骨伤医院2010年1月至2013年1月收治的39例累及双柱（壁）髋臼骨折患者为研究对象，根据手术方式不同将患者分为单一入路组（11例）和联合入路组（28例），比较两组患者的治疗效果、术中出血量及手术时间。结果术后，联合入路组优良率显著高于单一入路组（92．9％比63．6％），两组患者疗效比较差异有统计学意义（ Z＝3．45，P＜0．05），但两组手术时间及术中出血量比较差异无统计学意义（ P＞0．05）。结论对于累及双柱（壁）的髋臼骨折手术入路的选择应根据骨折类型和合并症确定，科学选择的手术入路对于提高手术效果具有十分重要的意义。%Objective To investigate the influence of the selection of surgical approaches for patients with involved double columns(wall) acetabular fracture on the therapeutic effect.Methods A total of 39 patients with involved double columns(wall) acetabular fracture admitted in Qingdao Orthopedics Hospital from Jan.2010 to Jan.2013 was selected as the research objects .According to the surgical approach,patients were divided into single approach group and combined approach group,the treatment effects,intraoperative bleeding amount and operation time of the two groups were compared.Results After surgery,the excellent and good rates of the combined approach group was significantly higher than that of the single approach group (92.9% vs 63.6%),the treatment effects of the two groups had statistically significant differences (Z =3.45,P<0.05),while there were no statistically significant differences of operation time and intraoperative bleeding amount between the two groups(P>0.05).Conclusion The surgical approaches for patients with involved double columns( wall) acetabular fracture should be selected according to the types of fracture and complications,scientific selection of surgical approach has great importance in improving the surgical effect.